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Table 1 Recommendations derived from the literature

From: Pain points in parents’ interactions with newborn screening systems: a qualitative study

Recommendation

Reference

– Parents should be informed of results from a known clinician

[6, 13, 17]

– Care should be taken with leaving voicemail messages and sending letters informing individuals of positive NBS results without clear follow-up directions

[6, 13]

– The nature of the disease should be explained adequately

[6]

– Parents should be connected with families experiencing the same condition

[6]

– Care should be taken in establishing rapport with parents before relaying a positive result

[6]

– Advising parents that test results are likely to be false positives is undesirable. Precise percentages should be used to convey risk

[6]

– Avoid downplaying the severity and clinical significance of the disease

[6]

– If clinicians are unable to answer questions, then parents should be provided with educational materials while awaiting an initial appointment or consultation with an expert

[6]

– Provide test results and counseling to all parents (not just the birth mother)

[13]

– Provide parents with educational materials related to the disorder

[17]

– Provide educational materials in minority languages

[17]

– Provide education regarding the NBS program in the third trimester (i.e. not at delivery when parents are overwhelmed)

[17]